Rental Application - Clachan Properties Page 2

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RENTAL   A PPLICATION
Property   A ddress:  
 
__________________________________
 
 
__________________________________  
1320   W est   B road   S treet,   S uite   A   R ichmond,   V A   2 3220  
804.358.1091   |   f ax   8 04.358.8680  
 
  |   w ww.clachanproperties.com  
   
 
Broad   S treet   L ofts   |   8 24   W .   B road   |   9 00   W .   B road   |   T   &   E   |   1 318   W .   B road   |   3 02   N .   G oshen   |   G race   @   M onroe    
The   J ewelry   B uilding   |   P arkwood   R ow   T ownhomes   |   S mokehouse   L ofts  
 
Applicant ☐
Co-Signer ☐
Date:
 
Name:
SSN:
DOB:
 
First
MI
Last
Cell Phone:
(
)
Email:
 
Present Address:
No P.O. Box Numbers
 
Present Landlord:
Phone:
(
)
Rent:
(Name)
 
 
 
 
 
 
Will anyone occupying the premises require special accommodations?
Yes ☐
No ☐
 
 
(Name and Age)
(Name and Age)
 
(Name and Age)
(Name and Age)
 
 
(
)
Name
Relationship
Cell Number
 
Email Address:
Home Address:
 
 
 
Type
Breed
Weight
 
Type
Breed
Weight
 
Our properties are cat friendly. Limit of two (2) cats. A non-refundable fee of $250 and $20 per month per cat is required prior to housing cat(s).
 
Please contact our office with any questions regarding our pet policy.
Are you a student? YES ☐ NO ☐
If you are a student, no further information is needed to complete this rental application. You will be required to obtain a qualified co-signer.
Please have your co-signer return his/her application, application fee and proof of income.
 
 
Employer:
 
(Name)
(Address)
(Hire Date)
(Annual Salary)
(Office Phone Number)
Please submit proof of income with your rental application (3 most current paystubs, letter from employer, or tax return documents are acceptable)
I certify that the facts set forth in the RENTAL APPLICATION are true and complete to the best of my knowledge and belief. I understand that making a known false statement on this application
is grounds for denial, termination of lease and/or eviction. I consent that the information provided above may be verified, and I further authorize the owner or agent to investigate my residential
history, criminal background, employment history, and credit/financial references. All such information hereon will be kept confidential.
I agree that the required application fee(s) will not be refunded for any reason. I further agree that my Holding Fee/Security Deposit will be paid in full before occupancy and may not be applied as
rent; the first month’s rent must also be paid before occupying an apartment. If I decide not to move in after this RENTAL APPLICATION has been accepted, I agree that the Holding
Fee/Security Deposit will not be refunded. If I feel my RENTAL APPLICATION has been unfairly denied, I understand that I have the right to call the Property Manager at (804) 358-1091 to
request additional consideration. I understand that this is an application only, and I acquire no rights in any property until: 1) said application is approved, 2) required deposit has been paid, 3) a
lease has been signed. At that time, this application becomes part of the lease. I further understand that Clachan Properties, LLC/Thalhimer’s leases are “Joint & Several”, meaning all leaseholders
and co-signers are held individually responsible for 100% of the entire lease.
Applicant Signature: _______________________________________________
Date: ___________________
It is our policy to rent to qualified persons regardless of race, religion, sex, nation origin, handicap, familial status or elderliness (VA only) in compliance with all federal, state & local laws.
 
AGENCY   D ISCLOSURE:   M anagement   h ereby   d iscloses,   p ursuant   t o   S ection   5 5-­‐ 2 48.12   o f   t he   C ode   o f   V irginia   ( 1950)   a s   a mended,   t he   a pplicable   s ection   o f   t he   V RLTA,   a nd   a ny   a nd   a ll   o ther   a pplicable   f ederal   o r   s tate   r egulations,  
that   T halhimer   ( 11100   W .   B road   S t.   G len   A llen,   V A   2 3060),   i s   t he   a uthorized   m anaging   a gent   f or   t he   l eased   p remises.  

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